Individual
JACOB TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2140 JEFFERSON ST N STE 200, LEWISBURG, WV 24901-7702
(681) 484-7042
Mailing address
2140 JEFFERSON ST N STE 200, LEWISBURG, WV 24901-7702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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